Kanser Hastalarının Bakımına Yönelik Klinik Karar Destek Sisteminin Uygulanması ve Hemşirelerin Görüşleri

Abstract

Aim of the study was implementation of clinical decision support system (CDSS) related to caring of cancer patients and exploring opinions of nurses using this system. This action research carried out mix type research design using qualitative and quantitive research methods. Total of 14 nurses working at a gynecological oncology clinic at a university hospital in Ankara participated. The study was conducted in four phases. In first phase, a form was used for nurses’ demographical features, Attitudes toward Computers in Healthcare Scale and also, one to one in-depth interviews with nurses were conducted about currently used computerized care plan system (CCPS) in the hospital. In second phase, an educational activity toward nurses regarding nursing process, diagnoses and interventions was completed. In third phase, the CDSS was created. In last phase, nurses used the CCDS for 3 months and in-depth interviews about the system were conducted and the same scale was performed again. For interviews, semi-structured forms and recorder were used. After obtained data was transcribed verbatim qualitative data analysis was performed with the Nvivo 10 program. From the analysis of first interviews, four main categories including definition, advantages and disadvantages of CCPS and recommendations for improving the system emerged. From the analysis of interviews after used the CCDS, five main categories including content of CCDS, the problems experienced, effects on nursing practice, effects on the patients, advising the use of the system at the other clinics or hospitals emerged. Nurses indicated that they did not experience any problems when practicing CCDS rather its usage facilitated the assessment of patients’ needs and management of the care.